TY - JOUR
T1 - Long-Term Effects of the Family Check-Up in Public Secondary School on Diagnosed Major Depressive Disorder in Adulthood
AU - Connell, Arin M.
AU - Dishion, Thomas J.
N1 - Funding Information:
This project was supported by Grants DA07031 and DA13773 from the National Institute on Drug Abuse, and AA12702 from the National Institute on Alcohol Abuse and Alcoholism, to Thomas Dishion. The authors gratefully acknowledge the clinical leadership of Dr. Kate Kavanagh on this project, and the contribution of the Project Alliance staff, Portland Public Schools, and the participating youth and families.
Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Given the public health importance of depression, the identification of prevention programs with long-term effects on reducing the rate of depression is of critical importance, as is the examination of factors that may moderate the magnitude of such prevention effects. This study examines the impact of the Family Check-Up, delivered in public secondary schools beginning in sixth grade, on the development of major depression in adulthood (aged 28–30). The multilevel intervention program included (a) a universal classroom-based intervention focused on problem solving and peer relationship skills, (b) the Family Check-Up (selected), a brief assessment-based intervention designed to motivate parents to improve aspects of family functioning when warranted, and (c) family management treatment (indicated), focused on improving parenting skills. Demographic (gender and ethnicity) and baseline risk factors (family conflict, academic problems, antisocial behavior, and peer deviance) were examined as possible moderators in logistic regression analyses. Intervention effects on depression were moderated by baseline family conflict and academic performance, with stronger intervention effects for youth with low grade point averages and from low-conflict families at baseline. Such findings extend the emerging literature on prevention programs with long-term effects on depression, and highlight directions for future research to enhance such effects.
AB - Given the public health importance of depression, the identification of prevention programs with long-term effects on reducing the rate of depression is of critical importance, as is the examination of factors that may moderate the magnitude of such prevention effects. This study examines the impact of the Family Check-Up, delivered in public secondary schools beginning in sixth grade, on the development of major depression in adulthood (aged 28–30). The multilevel intervention program included (a) a universal classroom-based intervention focused on problem solving and peer relationship skills, (b) the Family Check-Up (selected), a brief assessment-based intervention designed to motivate parents to improve aspects of family functioning when warranted, and (c) family management treatment (indicated), focused on improving parenting skills. Demographic (gender and ethnicity) and baseline risk factors (family conflict, academic problems, antisocial behavior, and peer deviance) were examined as possible moderators in logistic regression analyses. Intervention effects on depression were moderated by baseline family conflict and academic performance, with stronger intervention effects for youth with low grade point averages and from low-conflict families at baseline. Such findings extend the emerging literature on prevention programs with long-term effects on depression, and highlight directions for future research to enhance such effects.
KW - Depression
KW - Family intervention
KW - Moderators
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=84964345497&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84964345497&partnerID=8YFLogxK
U2 - 10.1007/s10964-016-0482-6
DO - 10.1007/s10964-016-0482-6
M3 - Article
C2 - 27099202
AN - SCOPUS:84964345497
SN - 0047-2891
VL - 46
SP - 570
EP - 581
JO - Journal of youth and adolescence
JF - Journal of youth and adolescence
IS - 3
ER -